Atlanta Dialectical Behavior Therapy Center

Primary specialty

CounselorTaxonomy code 101Y00000X

License

03688 Issued in GA

Legal business name

ATLANTA DIALECTICAL BEHAVIOR THERAPY CENTER

Practice address

2150 Peachford Rd Ste a
Atlanta, GA 30338-6521

Phone

(770) 833-0227

NPI assigned

Nov 18, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Minal P Shah, MS, NCC, LPC

Title

Clinical Director

Phone

(770) 833-0227

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258502400000",
    "number": "1558699207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 PEACHFORD RD STE A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386521",
            "telephone_number": "770-833-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 PEACHFORD RD STE A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386521",
            "telephone_number": "770-833-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA DIALECTICAL BEHAVIOR THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-18",
        "last_updated": "2009-11-18",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MINAL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "770-833-0227",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, NCC, LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "GA",
            "license": "03688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.